Registration

registration

For online registration, please fill out the form below and click "submit" when done. For mail in registration, print a copy of the form and mail it in to the address below. Please call 227-1111 or 227-6413 for class fees.

Printable Registration Form

Mail to:

Marilyn Schneider School of Dance

518 Long Pond Road

Rochester, NY 14612

Online Registration

Classes Registering For (check all that apply):

Name of student:

Street Address:

City, State, Zip:

Home Phone:

Work Phone:

Cell Phone:

Email Address:

Age:

Date of Birth:

Parent's Buisness Address:

School Attending:

Any Medical Conditions:

Emergency Contact:

Emergency Contact Phone:

I hereby agree not to hold Marilyn Schneider School of Dance, it’s directors and staff responsible for any damages or liabilities due to theft, accident, or injury, during or resulting from my child’s participation in any capacity of or relating to any function or activity of the said Marilyn Schneider School of Dance. Payments for monthly classes and private lessons are due on the 1st of every month, with a 14 day grace period; thereafter, a $5.00 late fee per month will be applied to outstanding accounts. I hereby assume all financial responsibility for above student(s) enrolled at Marilyn Schneider School of Dance. I further understand that I will be charged for all classes until I have notified the school of my or my child’s withdrawal from classes. In the event it becomes necessary to

refer this account for collection, you will be liable for all collection fees, including attorney fees, interest, etc.

Signature (by typing your full name):